Totals
- Total revenue
- $677,807
- Total expenses
- $608,360
- Contributions and grants received
- $632,535
- Grants paid
- $0
- Program service revenue
- $21,829
- Investment income
- $407
- Other revenue
- $23,036
- Total assets, end of year
- $1,532,539
- Total liabilities, end of year
- $19,321
- Net assets or fund balances, end of year
- $1,513,218
- Program services expenses (Part IX)
- $449,349
- Management and general expenses
- $72,336
- Fundraising expenses
- $86,675
- Program service expenses (Part III)
- $449,349
Program services were 73.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$47,854
-
1f · All other contributions, gifts and grants
$584,681
-
1g · Noncash contributions included above
$137,265
-
2a · Program service revenue: PATIENT INSURANCE PAYMENTS
total $21,829 · related or exempt $21,829
-
3 · Investment income
total $686 · excluded $686
-
7b · Less cost or other basis and sales expenses
securities $279
-
7c · Gain or loss
securities -$279
-
7d · Net gain or loss
total -$279 · excluded -$279
-
8a · Fundraising events: gross income
$35,461
-
8b · Fundraising events: direct expenses
$12,425
-
8c · Net income from fundraising events
total $23,036
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $317,331 · program services $198,720 · management and general $46,878 · fundraising $71,733
-
9 · Other employee benefits
total $25,643 · program services $16,575 · management and general $3,584 · fundraising $5,484
-
10 · Payroll taxes
total $24,682 · program services $15,457 · management and general $3,646 · fundraising $5,579
-
12 · Advertising and promotion
total $85 · management and general $85
-
13 · Office expenses
total $4,396 · program services $3,245 · management and general $455 · fundraising $696
-
14 · Information technology
total $5,896 · program services $5,896
-
16 · Occupancy
total $16,387 · program services $14,565 · management and general $911 · fundraising $911
-
17 · Travel
total $380 · program services $380
-
22 · Depreciation, depletion and amortization
total $32,344 · program services $28,748 · management and general $1,798 · fundraising $1,798
-
23 · Insurance
total $7,589 · program services $4,165 · management and general $3,327 · fundraising $97
-
24a · Other expenses: IN-KIND
total $137,265 · program services $137,265
-
24b · Other expenses: PROFESSIONAL FEES
total $15,452 · program services $6,952 · management and general $8,500
-
24c · Other expenses: REPAIRS AND MAINTENANCE
total $6,787 · program services $6,033 · management and general $377 · fundraising $377
-
24d · Other expenses: MEDICAL AND DENTAL SUPPLI
total $5,885 · program services $5,885
-
24e · All other expenses
total $8,238 · program services $5,463 · management and general $2,775
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $633,872 · end of year $741,428
-
2 · Savings and temporary cash investments
beginning of year $168,456 · end of year $159,900
-
3 · Pledges and grants receivable
beginning of year $15,473 · end of year $18,307
-
9 · Prepaid expenses and deferred charges
beginning of year $4,594 · end of year $3,638
-
10a · Land, buildings and equipment: cost or other basis
$1,035,352
-
10b · Land, buildings and equipment: accumulated depreciation
$448,265
-
10c · Land, buildings and equipment, net
beginning of year $619,430 · end of year $587,087
-
12 · Investments: other securities
beginning of year $25,804 · end of year $22,179
-
17 · Accounts payable and accrued expenses
beginning of year $20,344 · end of year $19,321
-
27 · Net assets without donor restrictions
beginning of year $1,400,545 · end of year $1,513,218
-
28 · Net assets with donor restrictions
beginning of year $46,740
Mission and programs · 2022
Mission
PROVIDE MEDICAL/DENTAL SERVICES TO LOW INCOME FAMILIES
-
PROVIDE MEDICAL/DENTAL SERVICES TO LOW INCOME FAMILIES
Expenses $449,349 · Revenue $21,829
-
PROVIDE MEDICAL/DENTAL SERVICES TO LOW INCOME FAMILIES
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Ben ByfordBEN BYFORD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Coby Davis EdDCOBY DAVIS EDD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Debra EuculanoDEBRA EUCULANO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Brian GrovesBRIAN GROVES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Candy Birch MDCANDY BIRCH MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Karen McIntosh Msn RNKAREN MCINTOSH MSN RN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Erica F RochelleERICA F ROCHELLE
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Lee SimpsonLEE SIMPSON
TREASURER
- Total calculated
- $0
- Hours/week
- 1
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 8 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303139349303410
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